ACLS Written Exam - response system, you determine there is no puls...

ACLS Written Exam

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ACLS Written Exam

• You find an unresponsive pt. who is not breathing. After activating the emergency

response system, you determine there is no pulse. What is your next action?

Answer: Start chest compressions of at least 100 per min.

• You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg,

the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now?

Answer: Obtaining a 12 lead ECG.

• What is the preferred method of access for epi administration during cardiac arrest in most pts?

Answer: Peripheral IV

• An AED does not promptly analyze a rythm. What is your next step?

Answer: Begin chest compressions.

• You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm

below, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority?

Answer: Administer 1mg of epinephrine

• During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no

pulse. What is the next action?

Answer: Resume compressions

• What is a common but sometimes fatal mistake in cardiac arrest management?

Answer: Prolonged interruptions in chest compressions.

• Which action is a componant of high-quality chest comressions?

Answer: Allowing complete chest recoil

• Which action increases the chance of successful conversion of ventricular fibrillation?

Answer: Providing quality compressions immediately before a defibrillation attempt.

• Which situation BEST describes pulseless electrical activity?

Answer: Sinus rythm without a pulse

• What is the BEST strategy for performing high-quality CPR on a patient with an

advanced airway in place?Answer: Provide continuous chest compressions without pauses and 10 ventilations per minute.

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